What on earth is a High Demand Care-giving Environment? So on my journey through study and research I kept coming up with the rather frustrating division of clumping together different family environments of needs based on the diagnosis of the child or parent. I understand this, it stems from the basic research design formula we use to try unravel the story from each unique perspective. There is however just one teeny tiny flaw in this approach, it focuses on the apparent cause of the parental demands rather than the level of demand being placed.